The follow has well being impacts and has in recent years declined from cultural norm to tourist curiosity. Tribes related to the Padaung, in addition to different cultures throughout the world, use jewelry to stretch their earlobes or enlarge ear piercings. In the Americas, labrets have been worn since earlier than first contact by Innu and First Nations peoples of the northwest coast. Lip plates have been worn by the African Mursi and Sara individuals, in addition to some South American peoples.

In the late twentieth century, the affect of modern primitivism led to many of those practices being incorporated into western subcultures. Many of these practices depend on a mixture of body modification and ornamental objects, thus keeping the distinction between these two types of decoration blurred. In North America, Native Americans used shells, wood, turquoise, and soapstone, virtually unavailable in South and Central America. The turquoise was used …